Active NPI
Carrie Renee Semlinger, LCSW
- Clinical Social Worker
- Poplar Bluff, MO
National Provider Identifier
1629550397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2020042158
- Practice address
- 2995 Warrior Lane
Poplar Bluff, MO 63901 - Phone
- (573) 712-2902
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2020042158 | Primary |
Addresses
Primary practice location
2995 Warrior Lane
Poplar Bluff, MO 63901
Mailing address
2995 Warrior Lane
Poplar Bluff, MO 63901
Phone (573) 712-2902
Other practice location 1
1011 Old Business Highway 60
Van Buren, MO 63935-0961
Phone (573) 323-2173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210113001814 | MO | Practitioner - Clinical Social Worker | 6002229937 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Center, Inc. | Current | Accepting new patients | |
| Family Counseling Center, Inc. | Current | Accepting new patients |
Locations
315 E Walnut St
Ellington, MO 63638
Phone (573) 663-2500
2995 Warrior Ln
Poplar Bluff, MO 63901
Phone (573) 712-2902
3001 Warrior Ln
Poplar Bluff, MO 63901
Phone (573) 785-7453
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Poplar Bluff, MO
- NPI 1235738493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1629550397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 WARRIOR LANE",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "63901",
"telephone_number": "573-712-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2995 WARRIOR LANE",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "63901",
"telephone_number": "573-712-2902"
}
],
"practiceLocations": [
{
"address_1": "1011 Old Business Highway 60",
"address_purpose": "LOCATION",
"city": "Van Buren",
"state": "MO",
"postal_code": "639350961",
"country_code": "US",
"telephone_number": "573-323-2173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEMLINGER",
"first_name": "CARRIE",
"middle_name": "RENEE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2021-01-29",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "2020042158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.